Ins pm gen exist dual lead at MEDICAL CITY FRISCO HOSPITAL
5500 Frisco Square Blvd, Frisco, TX · Medicalcityhealthcare · · NPI 1699726406
$36,872.73
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$36,872.73
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$1,995.00 with Fidelis SecureCare vs $109,000.00 with United — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| Fidelis SecureCare | MGMCR | $1,995.00 | ↓ -95% |
| Superior Health Plan | STARHealth | $2,369.00 | ↓ -94% |
| Superior Health Plan | MCDSTAR | $2,369.00 | ↓ -94% |
| Superior Health Plan | CHIP | $2,369.00 | ↓ -94% |
| Superior Health Plan | STARPLUS | $2,369.00 | ↓ -94% |
| Superior Health Plan | STARKids | $2,369.00 | ↓ -94% |
| Aetna | QHPHIX | $2,513.00 | ↓ -93% |
| Aetna | NewBusiness | $3,445.00 | ↓ -91% |
| Aetna | Meritain | $3,682.00 | ↓ -90% |
| Aetna | COMM | $3,682.00 | ↓ -90% |
| Aetna | OON | $4,332.00 | ↓ -88% |
| Cigna | IFP | $4,444.48 | ↓ -88% |
| Cigna | QHP | $4,609.09 | ↓ -88% |
| United | OptionsPPO | $5,728.44 | ↓ -84% |
| Humana | COMM | $7,113.00 | ↓ -81% |
| Oscar | HIX | $7,883.00 | ↓ -79% |
| BCBS | BluePremier | $9,613.25 | ↓ -74% |
| LifeCare Hospitals | MGMCD | $9,876.62 | ↓ -73% |
| LifeCare Hospitals | MGMCR | $9,876.62 | ↓ -73% |
| Evry Health | COMM | $10,714.00 | ↓ -71% |
| Healthcare Highways | CityofPlano | $11,127.66 | ↓ -70% |
| Prominence Health Plan | HIX | $13,168.83 | ↓ -64% |
| Healthcare Highways | NarrowNetwork | $14,600.00 | ↓ -60% |
| BCBS | Traditional | $14,617.40 | ↓ -60% |
| City of McKinney | COMM | $14,814.94 | ↓ -60% |
| National ChoiceCare | WCOMP | $16,461.04 | ↓ -55% |
| United | STARKids | $16,993.10 | ↓ -54% |
| United | STARPLUS | $16,993.10 | ↓ -54% |
| United | STARPerinate | $16,993.10 | ↓ -54% |
| United | CHIP | $16,993.10 | ↓ -54% |
| United | STAR | $16,993.10 | ↓ -54% |
| Aetna | ASA | $17,349.94 | ↓ -53% |
| Cigna Healthspring | MGMCD | $17,842.76 | ↓ -52% |
| Amerigroup | CHIP | $17,842.76 | ↓ -52% |
| Amerigroup | MGMCD | $17,842.76 | ↓ -52% |
| Physicians Coop of TX | MGMCR | $18,107.14 | ↓ -51% |
| Rockport Health Group | WORKERSCOMP | $18,107.14 | ↓ -51% |
| PC Texas Partners | WCOMP | $18,107.14 | ↓ -51% |
| Aetna | WCOMP | $18,107.14 | ↓ -51% |
| Molina | CHIP | $18,692.41 | ↓ -49% |
| Molina | STAR+PLUS | $18,692.41 | ↓ -49% |
| Molina | STARKIDS | $18,692.41 | ↓ -49% |
| Parkland Community Health Plan | MCD | $18,692.41 | ↓ -49% |
| Molina | MCDSTAR | $18,692.41 | ↓ -49% |
| Averde Health, Inc | PPO | $19,094.81 | ↓ -48% |
| Aetna Coventry First Health | NONEXCLUSIVE | $19,917.86 | ↓ -46% |
| Aetna Coventry First Health | EXCLUSIVE | $19,917.86 | ↓ -46% |
| Aetna Better Health | CHIP | $20,391.72 | ↓ -45% |
| Aetna Better Health | MCD | $20,391.72 | ↓ -45% |
| Humana | MGMCD | $21,241.38 | ↓ -42% |
| Texas Healthcare Foundation WC | WORKERSCOMP | $21,399.35 | ↓ -42% |
| Cigna | LocalPlus | $21,804.00 | ↓ -41% |
| Cigna | NewBusiness | $21,826.00 | ↓ -41% |
| WellMed | MGMCR | $22,456.66 | ↓ -39% |
| Multiplan PHCS | PrimaryNetwork | $23,045.46 | ↓ -37% |
| Mega Life | MGMCRPPO | $23,045.46 | ↓ -37% |
| Coastal Comp Health Networks | WCOMP | $23,045.46 | ↓ -37% |
| Curative Administrators | COMM | $24,035.00 | ↓ -35% |
| Cigna | HMO | $24,362.00 | ↓ -34% |
| Cigna | NetworkBenefit | $24,362.00 | ↓ -34% |
| Cigna | OpenAccessPlus | $24,362.00 | ↓ -34% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $24,691.56 | ↓ -33% |
| HealthSmart Preferred Care | PPO | $24,691.56 | ↓ -33% |
| USC Health Services | COMM | $26,337.66 | ↓ -29% |
| USA Managed Care | COMM | $26,337.66 | ↓ -29% |
| Galaxy Health Network | PPO | $27,983.77 | ↓ -24% |
| Cigna | AllOther | $30,818.00 | ↓ -16% |
| Unicare | MCD | $32,922.08 | ↓ -11% |
| National Healthcare Solutions | COMM | $32,922.08 | ↓ -11% |
| Independent Medical Systems | COMM | $32,922.08 | ↓ -11% |
| BCBS | BlueAdvantageHMO | $45,880.04 | ↑ +24% |
| BCBS | MyBlueHealth | $45,880.04 | ↑ +24% |
| BCBS | BlueEssentialsAccess | $54,283.81 | ↑ +47% |
| BCBS | BlueEssentials | $54,283.81 | ↑ +47% |
| BCBS | EPOSOA | $57,009.35 | ↑ +55% |
| BCBS | PPO | $59,734.90 | ↑ +62% |
| United | NarrowNetworkIndivExchange | $62,381.00 | ↑ +69% |
| United | SmallGroup | $77,953.00 | ↑ +111% |
| United | AllPayerAppendix | $109,000.00 | ↑ +196% |
Visitor-reported prices
Comments
Ins pm gen exist dual lead at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $28,383.36 | $16,556.96 – $58,392.49 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $28,383.36 | $16,556.96 – $48,041.62 |
| Texas Health Hospital Frisco | Frisco | $42,952.50 | $16,993.10 – $18,352.55 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $28,383.36 | $6,299.00 – $58,392.49 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $32,721.79 | $6,735.24 – $58,392.49 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $29,876.42 | $15,811.00 – $58,392.49 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $32,721.79 | $15,811.00 – $58,392.49 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $32,721.79 | $13,462.00 – $58,392.49 |